EDGAR ALLAN BAUTISTA

SHIPROCK, NM
NPI1760230809
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: CA  95330098)
Enumeration Date2024-05-13
Last Update Date2024-05-13
Business Address
EDGAR ALLAN BAUTISTA RN
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6001
Mailing Address
EDGAR ALLAN BAUTISTA RN
3116 N COCHITI AVE
FARMINGTON, NM 87401-2050
Phone number: 949-620-7280
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